Date : 00.00.00
Name of the Patient : Abc Xyzy Kesalmn / M / 2 1/2 yrs.
Referred by : Dr. Abc Xyzsbekar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O birth asphyxia with MR and epilepsy.
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
4 mm thick T2 Weighted coronal images.
There is evidence of volume loss in the left fronto-temporo-parietal lobes and in the right frontal lobe. CSF signal intensity lesion on all the pulse sequences is noted along the cerebral cortex in these regions which may suggests cystic encephalomalacia, the sequelae of previous vascular insult. Ill-defined, hyperintense signal on the proton and T2 Weighted images in the subcortical white matter in the above described region may represent gliotic changes. White matter loss is noted in the left fronto-temporo-parietal lobes and in the right frontal lobe with the sulcal spaces, nearly abutting the lateral ventricular walls.
There is mild dilatation of both the lateral ventricles. The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. Thinning of the corpus callosum is noted.
The left middle cerebral artery appears slightly smaller in diameter when compared to the right.
- 2 - scan-00000
Volume loss in the left fronto-temporo-parietal region and in the right frontal region with altered signal along cortex and subcortical white matter as described represents encephalomalacic changes most likely is the sequelae of previous vascular insult. Resultant mild lateral ventricular dilatation is noted.